Active NPI
Tseten Mizoguchi
- Pharmacist
- Placentia, CA
National Provider Identifier
1336628080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42802
- Practice address
- 150 E Yorba Linda Blvd
Placentia, CA 92870-3327 - Phone
- (714) 528-3112
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42802 | CA | Primary |
Addresses
Primary practice location
150 E Yorba Linda Blvd
Placentia, CA 92870-3327
Mailing address
150 E Yorba Linda Blvd
Placentia, CA 92870-3327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42802 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1336628080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E YORBA LINDA BLVD",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E YORBA LINDA BLVD",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703327",
"telephone_number": "714-528-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZOGUCHI",
"first_name": "TSETEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.